| Ideal Counseling Pllc | |
|
1422 Caldwell St Ste I Conway AR 72034-5319 | |
| (501) 908-7448 | |
| Not Available |
| Full Name | Ideal Counseling Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1422 Caldwell St Ste I, Conway, Arkansas |
| Authorized Official Name and Position | Derrick White (OWNER) |
| Authorized Official Contact | 5019087448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Counseling Pllc 901 S Salem Rd Apt 722 Conway AR 72034-8488 Ph: (501) 908-0117 | Ideal Counseling Pllc 1422 Caldwell St Ste I Conway AR 72034-5319 Ph: (501) 908-7448 |
| NPI Number | 1356144901 |
|---|---|
| Provider Enumeration Date | 03/29/2025 |
| Last Update Date | 03/29/2025 |
| Certification Date | 03/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356144901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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